How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $81.28 Median $588.84 Typical High $794.33 | Facility | None | $81.28 | $588.84 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $562.34 Typical High $724.44 | Professional | None | $81.28 | $562.34 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $5,011.87 Typical High $11,220.18 | Facility | None | $758.58 | $5,011.87 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $489.78 Typical High $724.44 | Professional | None | $74.13 | $489.78 | $724.44 |
CareSource Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $2,454.71 | Facility | None | $74.13 | $120.23 | $2,454.71 |
CareSource Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $125.89 | Professional | None | $83.18 | $107.15 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $128.82 Typical High $1,905.46 | Facility | None | $34.67 | $128.82 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $575.44 Typical High $3,162.28 | Professional | None | $77.62 | $575.44 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $323.59 Median $588.84 Typical High $1,621.81 | Facility | None | $323.59 | $588.84 | $1,621.81 |
United Setting Professional Modifier None Typical Low $87.10 Median $562.34 Typical High $1,071.52 | Professional | None | $87.10 | $562.34 | $1,071.52 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $60.26 Median $77.62 Typical High $549.54 | Facility | 54 · Surgery only | $60.26 | $77.62 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $83.18 Typical High $549.54 | Professional | 54 · Surgery only | $60.26 | $83.18 | $549.54 |
Where Kentucky sits
The same service costs 7.8 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kentucky· 43rd of 51
$501
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.